PENINSULA COMMUNITY HEALTH SERVICES NPI 1528517216

NPI Information

NPI: 1528517216
Provider Name: PENINSULA COMMUNITY HEALTH SERVICES
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
31 NE STATE ROUTE 300
SUITE 200
BELFAIR, WA
ZIP 98528
Phone: (360) 377-3776
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PENINSULA COMMUNITY HEALTH SERVICES is a federally qualified health center (fqhc) clinic center in Belfair, WA. PENINSULA COMMUNITY HEALTH SERVICES NPI is 1528517216. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

31 NE STATE ROUTE 300
SUITE 200
BELFAIR, WA
ZIP 98528-611
Phone: (360) 377-3776

The provider's authorized official is Jennifer Kreidler-moss .
The authorized official title is Ceo and has the following contact phone number (360) 478-2366.

The enumeration date for this NPI number is 9/23/2016 and was last updated on 1/2/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207Q00000X	Family Medicine		No
2	207R00000X	Internal Medicine		No
3	207V00000X	Obstetrics & Gynecology		No
4	208000000X	Pediatrics		No
5	251E00000X	Home Health		No
6	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes
7	363A00000X	Physician Assistant		No
8	363L00000X	Nurse Practitioner		No
9	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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